• Sr Program Manager

    Molina Healthcare (TX)
    **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
    Molina Healthcare (04/17/25)
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  • Sr . Program Manager

    Molina Healthcare (TX)
    …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
    Molina Healthcare (04/17/25)
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  • SR Reimbursement Analyst

    Methodist Health System (Dallas, TX)
    …days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the Manager ... MRMC, SLMC and MHS home office. Development objective: Learn the relationship of Medicare Laws, regulations, Program Memorandums, Program Manuals, CMS… more
    Methodist Health System (04/24/25)
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  • Senior Manager , Medicare

    Humana (Austin, TX)
    …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of ... train, and discipline a team of sales individuals. The Senior Manager , Medicare Sales must...+ This role is part of Humana's Driver safety program and requires an individual to have a valid… more
    Humana (04/22/25)
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  • Audit & Reimbursement Sr

    Elevance Health (Grand Prairie, TX)
    …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
    Elevance Health (04/24/25)
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  • SR Coding Improvement Specialist

    Kelsey-Seybold Clinic (Pearland, TX)
    …Vision, and Dental + Tuition Reimbursement + Company Matching 401K + Employee Reward and Recognition Program + Paid time off for vacation, sick, and holidays + ... on the team and be able to travel occasionally **Job Title: SR Coding Improvement Specialist** **Location: Pearland Administrative Office** **Department:** **KS Plan… more
    Kelsey-Seybold Clinic (04/23/25)
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  • Director of Finance Government Reimbursement…

    UTMB Health (Galveston, TX)
    Director of Finance Government Reimbursement ( Medicare , Medicaid) - Government Reimbursement **Galveston, Texas, United States** Executive - Business Professional ... degree in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of reimbursement… more
    UTMB Health (03/29/25)
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  • Delivery Senior Manager

    NTT DATA North America (Plano, TX)
    …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to ... hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements...paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally… more
    NTT DATA North America (04/29/25)
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  • Senior Manager , Vendor Data…

    CVS Health (Austin, TX)
    …more compassionate. And we do it all with heart, each and every day. **Position Summary** Senior Manager - Vendor Data Management is a high impact role, you will ... years of management consulting experience or 5+ years of Medicare or Medicaid benefit and financial analytics experience required....for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (04/03/25)
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  • Senior Manager , Dental Network…

    CVS Health (Austin, TX)
    …compliance, financial viability, performance, and alignment to organizational goals. The Senior Manager will also develop and implement standardized processes ... Primary responsibilities include drafting, managing, and overseeing dental Medicaid and Medicare contracts across existing and new markets. This role involves… more
    CVS Health (04/03/25)
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